Individual provider · Type 1 NPI
Larry Yoder, PA
Medical Physician Assistant · Lakeland, FL
NPI number
1972575744
Active
Practice location
1600 Lakeland Hills Blvd
Lakeland, FL 33805
Fax (866) 264-8519
Mailing address
PO Box 95004
Lakeland, FL 33804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA1570 (FL) |
Medical Physician Assistant: Definition to come...
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About NPI 1972575744
Larry Yoder, PA's National Provider Identifier is 1972575744, issued on Feb 6, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lakeland, FL. The record was last updated on Jun 21, 2012.